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This is VAERS ID 274044

Case Details

VAERS ID: 274044 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-03-15
Onset:2007-03-15
   Days after vaccination:0
Submitted: 2007-03-15
   Days after onset:0
Entered: 2007-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Skin tightness
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: none
CDC Split Type:

Write-up: About 2 minutes after vaccine (Gardasil, 2nd dose), patient noticed pain, swelling/tightness of upper arm near vaccine, and streaks of slightly swollen reddened skin out to about 4 cm surrounding injection site. Subsided within 8 minutes. Treatment was MD assessment and Claritin 10mg reditab.


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